Individual
MARYANNA DICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3039 DAVIS RD, FAIRBANKS, AK 99709-5234
(915) 240-3447
Mailing address
PO BOX 83532, FAIRBANKS, AK 99708-3532
(915) 240-3447
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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